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General NPI Number Information
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NPI Number | 1891605564
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Entity Type | Organization
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Legal Business Name | CYH MEDICAL GROUP (DE), P.A.
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 3907 MEDICAL PKWY STE 101
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City | AUSTIN
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State | TX
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Zip | 78756-4015
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Country | US
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Telephone | 970-313-4975
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Fax | 970-360-0323
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Provider Business Mailing Address
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Address Line | 3907 MEDICAL PKWY STE 101
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City | AUSTIN
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State | TX
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Zip | 78756-4015
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Country | US
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Telephone | 970-313-4975
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Fax | 970-360-0323
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Authorized Official
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Title or Position | CMO
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Name | DANIEL JOHN MONTVILLE
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Credential | MD
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Telephone | 507-284-2511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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